The stakeholders who attended the meeting in January received an update on the progress of Free Care program transformation. The Department had some notable updates pending the final approval of Centers for Medicare and Medicaid Services (CMS). One of the most anticipated program changes has been the list of revised Random Moment Time Study (RMTS) questions. Listed below are two new questions (numbers 1 and 2) with two current questions re-ordered (numbers 3 and 4):
- Is the service you provided part of the child's medical plan of care where medical necessity has been otherwise established?
- Who were you working with during this sample moment?
- Describe in detail the activity you were performing during your sampled moment. Please answer this question even if you answered "No" to the previous questions.
- Describe in detail why you were doing this activity during your sampled moment.
Pending CMS approval, other significant updates include the addition of direct service job categories such as master's level Psychologist and Applied Behavior Analyst, the expansion of reimbursable services captured on other medical plans of care, the elimination of the Targeted Case Management cost pool, and the reduction of days participants will receive for advanced RMTS notifications as well as their moment response window.
Stakeholders were asked to focus on specific actions to help prepare for the expansion of services anticipated to be implemented in the October-December 2020 (OD20) quarter:
- Identify other medical plans of care currently in use at your district
- Identify other medical plans of care that may overlap with IEP/IFSP plans
- Identify job categories for the providers rendering services to students with overlapping medical plans of care
- Verify that other medical plans of care are SHS program compliant
- Target train current time study participants in the job categories identified as having overlapping plans of care
- Train time study participants on the new RMTS questions
The Department will be hosting an additional stakeholder meeting in March this year to help get the most updated Free Care information to districts/BOCES statewide.